What is the right procedure to correct the Polands syndrome deformity?
Despite the fact that I am an advocate of flap reconstruction of the breast, many patients who have only a small to moderate size discrepancy in the breasts do quite well with a breast implant. There are some patients whose deformity is not suited for an implant, and in those patients, a flap would be most appropriate. There are patients who have had multiple implants over the years and would like something that does not require ongoing maintenance. In those patients, a flap would also be appropriate. Young patients rarely will have enough abdominal tissue to perform a DIEP flap. While a GAP flap is sometimes done, the geometry and thickness will determine if this is an option.
